Tiffany Dawn Shadle (NPI# 1750560298, PAC ID# 0941466973) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1750560298 |
| PAC ID by PECOS | 0941466973 |
| Professional Enrollment ID | I20170706000253 |
| Full Name | Tiffany Dawn Shadle |
| Organization Legal Name | KINGSTON CARE PARTNERS, LLC |
| Address |
2400 Legacy Ct Santa Fe NM 87507-4819 |
| Phone Number | 5054712400 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1850589102 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2400 Legacy Ct, Santa Fe, NM 87507-4819 | 5054712400 | KINGSTON CARE PARTNERS, LLC |
| Organization Legal Name | KINGSTON CARE PARTNERS, LLC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa M Kapper | Nurse Practitioner | Kingston Care Partners, LLC | 20 Amberwood Pkwy, Ashland, OH 44805-9765 |
| Laura Rothschild | Nurse Practitioner | Kingston Care Partners, LLC | 333 E Boundary St, Perrysburg, OH 43551-2860 |
| Adam K Pinkerton | Nurse Practitioner | Kingston Care Partners, LLC | 1010 W Washington Ctr, Kingston Care Center of Fort Wayna, Fort Wayne, IN 46825-4155 |
| Michelle Fuhr | Nurse Practitioner | Kingston Care Partners, LLC | 345 E Boundary St, Perrysburg, OH 43551-2760 |
| Carolyn E Graham | Nurse Practitioner | Kingston Care Partners, LLC | 2010 Amberwood Pkwy, Ashland, OH 44805 |
| Raeann L Brodbeck | Nurse Practitioner | Kingston Care Partners, LLC | 4121 King Rd, Sylvania, OH 43560-4438 |
| Brandy Young | Nurse Practitioner | Kingston Care Partners, LLC | 7515 Winchester Rd, Kingston Residence of Ft Wayne, Fort Wayne, IN 43560-2257 |
| Terri S Sanchez | Nurse Practitioner | Kingston Care Partners, LLC | 904 2nd St Ne, Hickory, NC 28601-3871 |
| Susanne E Reece | Nurse Practitioner | Kingston Care Partners, LLC | 1120 Dunaway St, Miamisburg, OH 45342-3839 |
| Kelly A Anderson | Nurse Practitioner | Kingston Care Partners, LLC | 1010 W Washington Ctr, Kingston Care Center of Fort Wayna, Fort Wayne, IN 46825-4155 |
| Street Address |
2400 LEGACY CT |
| City | SANTA FE |
| State | NM |
| Zip | 87507-4819 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carlos Sandoval | Chiropractic | 2860 Cerrillos Rd, Suite C2, Santa Fe, NM 87507-2326 | |
| Carolyn Dechaine | Clinical Social Worker | 2856 Pueblo Bonito, Santa Fe, NM 87507-2533 | |
| Thomas Sandoval | Physical Therapy | Allcare Physical Therapy LLC | 3454 Zafarano Dr A, Santa Fe, NM 87507-2667 |
| Merry M Beyeler | Physician Assistant | Aspen Medical Group LLC | 3450 Zafarano Dr C, Santa Fe, NM 87507-2669 |
| Jaqueline Fernandez-quezada | Nurse Practitioner | Aspen Medical Group LLC | 3450 Zafarano Dr C, Santa Fe, NM 87507-2669 |
| Andrew Langsam | Emergency Medicine | Aspen Medical Group LLC | 3450 Zafarano Dr C, Santa Fe, NM 87507-2669 |
| Cindy M Matsushita | Family Medicine | Aspen Medical Group LLC | 3450 Zafarano Dr C, Santa Fe, NM 87507-2669 |
| Tina Mier | Nurse Practitioner | Aspen Medical Group LLC | 3450 Zafarano Dr C, Santa Fe, NM 87507-2669 |
| Cynthia S Rector | Nurse Practitioner | Aspen Medical Group LLC | 3450 Zafarano Dr C, Santa Fe, NM 87507-2669 |
| Gina C Ortiz | Physician Assistant | Aspen Medical Group LLC | 3450 Zafarano Dr C, Santa Fe, NM 87507-2669 |
| Find all physicians in zip 87507 | |||
| City | SANTA FE |
| Zip Code | 87507 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SANTA FE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tiffany Dawn Shadle.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.